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      Activation of PPARγ by a Natural Flavonoid Modulator, Apigenin Ameliorates Obesity-Related Inflammation Via Regulation of Macrophage Polarization

      research-article
      a , c , a , d , a , a , a , a , a , e , a , a , e , a , a , b , *
      EBioMedicine
      Elsevier
      Api, apigenin, Rosi, rosiglitazone, HFD, high fat diet, ND, normal diet, IHC, Immunological Histological Chemistry, PPARγ, peroxisome proliferator activated receptor γ, Fizz1, found in inflammatory zone (FIZZ)1, Arg1, arginase, CD206, mannose receptor C type 1, TZD, thiazolidinedione, H&E, hematoxylin and eosin, AnV, Annexin V-FITC, PI, propidium iodide, ITC, isothermal titration calorimetry, ROS, reactive oxygen species, NO, nitric oxide, SPF, specific-pathogen-free, ALT, alanine aminotransferase, AST, aspartate aminotransferase, SEM, standard error of mean, EMSA, electrophoretic mobility shift assay, HFD, high fat diet, WAT, white adipose tissue, ATM, adipocyte tissue macrophages, NF-κB, nuclear factor kappa B, TC, total cholesterol, TG, triglycerides, ITTs, insulin tolerance tests, CT, computer tomography, SPPARMs, selective PPAR modulators, LBD, ligand binding domain, DBD, DNA binding domain, Obesity-related inflammation, Macrophage polarization, Apigenin, PPARγ, NF-κB

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          Abstract

          PPARγ has emerged as a master regulator of macrophage polarization and is the molecular target of the thiazolidinedione drugs. Here we show that apigenin binds and activates PPARγ by acting as a modulator. Activation of PPARγ by apigenin blocks p65 translocation into nuclei through inhibition of p65/PPARγ complex translocation into nuclei, thereby decreasing NF-κB activation and favoringM2 macrophage polarization. In HFD and ob/ob mice, apigenin significantly reverses M1 macrophage into M2 and reduces the infiltration of inflammatory cells in liver and adipose tissues, as well as decreases the levels of pro-inflammatory cytokines, thereby alleviating inflammation. Strikingly, apigenin reduces liver and muscular steatosis, decreases the levels of ALT, AST, TC and TG, improving glucose resistance obviously. Unlike rosiglitazone, apigenin does not cause significant weight gain, osteoporosis et al. Our findings identify apigenin as a modulator of PPARγ and a potential lead compound for treatment of metabolic disorders.

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          Highlights

          • Apigenin binds and activates PPARγ and significantly reverses the polarization of macrophages from M1 to M2 phenotype.

          • Activation of PPARγ by apigenin blocks p65 translocation through inhibiting p65/PPARγ complex translocation into nucleus.

          • Apigenin significantly attenuates metabolic inflammation and disorders without causing some side effects as TZD drugs do.

          PPARγ is the molecular target of the thiazolidinedione drugs to treat type II diabetes. However, TZD drugs have some side effects including cardiovascular failure, liver toxicity, bone fractures and potential carcinogenesis, which have greatly limited their clinical use. Here, we find apigenin, a flavonoid molecule abundant in various fruits and vegetables, can control macrophage fate to inhibit inflammation and metabolic syndrome without causing some side effects as TZD drugs. Further study indicates that apigenin can target PPARγ with a range of beneficial effects and may represent a lead compound for developing new therapies against metabolic disorders.

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          Most cited references41

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          Macrophage-specific PPARgamma controls alternative activation and improves insulin resistance.

          Obesity and insulin resistance, the cardinal features of metabolic syndrome, are closely associated with a state of low-grade inflammation. In adipose tissue chronic overnutrition leads to macrophage infiltration, resulting in local inflammation that potentiates insulin resistance. For instance, transgenic expression of Mcp1 (also known as chemokine ligand 2, Ccl2) in adipose tissue increases macrophage infiltration, inflammation and insulin resistance. Conversely, disruption of Mcp1 or its receptor Ccr2 impairs migration of macrophages into adipose tissue, thereby lowering adipose tissue inflammation and improving insulin sensitivity. These findings together suggest a correlation between macrophage content in adipose tissue and insulin resistance. However, resident macrophages in tissues display tremendous heterogeneity in their activities and functions, primarily reflecting their local metabolic and immune microenvironment. While Mcp1 directs recruitment of pro-inflammatory classically activated macrophages to sites of tissue damage, resident macrophages, such as those present in the adipose tissue of lean mice, display the alternatively activated phenotype. Despite their higher capacity to repair tissue, the precise role of alternatively activated macrophages in obesity-induced insulin resistance remains unknown. Using mice with macrophage-specific deletion of the peroxisome proliferator activated receptor-gamma (PPARgamma), we show here that PPARgamma is required for maturation of alternatively activated macrophages. Disruption of PPARgamma in myeloid cells impairs alternative macrophage activation, and predisposes these animals to development of diet-induced obesity, insulin resistance, and glucose intolerance. Furthermore, gene expression profiling revealed that downregulation of oxidative phosphorylation gene expression in skeletal muscle and liver leads to decreased insulin sensitivity in these tissues. Together, our findings suggest that resident alternatively activated macrophages have a beneficial role in regulating nutrient homeostasis and suggest that macrophage polarization towards the alternative state might be a useful strategy for treating type 2 diabetes.
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            The biochemistry and medical significance of the flavonoids.

            Flavonoids are plant pigments that are synthesised from phenylalanine, generally display marvelous colors known from flower petals, mostly emit brilliant fluorescence when they are excited by UV light, and are ubiquitous to green plant cells. The flavonoids are used by botanists for taxonomical classification. They regulate plant growth by inhibition of the exocytosis of the auxin indolyl acetic acid, as well as by induction of gene expression, and they influence other biological cells in numerous ways. Flavonoids inhibit or kill many bacterial strains, inhibit important viral enzymes, such as reverse transcriptase and protease, and destroy some pathogenic protozoans. Yet, their toxicity to animal cells is low. Flavonoids are major functional components of many herbal and insect preparations for medical use, e.g., propolis (bee's glue) and honey, which have been used since ancient times. The daily intake of flavonoids with normal food, especially fruit and vegetables, is 1-2 g. Modern authorised physicians are increasing their use of pure flavonoids to treat many important common diseases, due to their proven ability to inhibit specific enzymes, to simulate some hormones and neurotransmitters, and to scavenge free radicals.
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              Low-grade systemic inflammation and the development of type 2 diabetes: the atherosclerosis risk in communities study.

              To examine the association of low-grade systemic inflammation with diabetes, as well as its heterogeneity across subgroups, we designed a case-cohort study representing the approximately 9-year experience of 10,275 Atherosclerosis Risk in Communities Study participants. Analytes were measured on stored plasma of 581 incident cases of diabetes and 572 noncases. Statistically significant hazard ratios of developing diabetes for those in the fourth (versus first) quartile of inflammation markers, adjusted for age, sex, ethnicity, study center, parental history of diabetes, and hypertension, ranged from 1.9 to 2.8 for sialic acid, orosomucoid, interleukin-6, and C-reactive protein. After additional adjustment for BMI, waist-to-hip ratio, and fasting glucose and insulin, only the interleukin-6 association remained statistically significant (HR = 1.6, 1.01-2.7). Exclusion of GAD antibody-positive individuals changed associations minimally. An overall inflammation score based on these four markers plus white cell count and fibrinogen predicted diabetes in whites but not African Americans (interaction P = 0.005) and in nonsmokers but not smokers (interaction P = 0.13). The fully adjusted hazard ratio comparing white nonsmokers with score extremes was 3.7 (P for linear trend = 0.008). In conclusion, a low-grade inflammation predicts incident type 2 diabetes. The association is absent in smokers and African-Americans.
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                Author and article information

                Contributors
                Journal
                EBioMedicine
                EBioMedicine
                EBioMedicine
                Elsevier
                2352-3964
                15 June 2016
                July 2016
                15 June 2016
                : 9
                : 61-76
                Affiliations
                [a ]State Key Laboratory of Pharmaceutical Biotechnology, School of life Sciences, Nanjing University, Nanjing 210046, China
                [b ]MOE Key Laboratory of Model Animal for Disease Study, Model Animal Research Center, Nanjing Biomedical Research Institute, Nanjing Biomedical Research Institute, Nanjing University, Nanjing 210046, China
                [c ]Center for Molecular Metabolism, Nanjing University of Science and Technology, Nanjing 210094, China
                [d ]Graduate Medical Education, Virginia Mason Medical Center, Seattle, WA 98101, USA
                [e ]Key Lab of Analytical Chemistry for Life Science, School of Chemistry and Chemical Engineering, Nanjing University, Nanjing 210046, China
                Author notes
                [* ]Corresponding author at: State Key Laboratory of Pharmaceutical Biotechnology, School of life Sciences, Nanjing University, Nanjing 210046, China.State Key Laboratory of Pharmaceutical BiotechnologySchool of life SciencesNanjing UniversityNanjing210046China ppshen@ 123456nju.edu.cn
                Article
                S2352-3964(16)30275-4
                10.1016/j.ebiom.2016.06.017
                4972579
                27374313
                d6ba3fee-ee4d-43f1-99b8-ef73230ebfca
                © 2016 The Authors

                This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).

                History
                : 28 March 2016
                : 10 June 2016
                : 13 June 2016
                Categories
                Research Paper

                api, apigenin,rosi, rosiglitazone,hfd, high fat diet,nd, normal diet,ihc, immunological histological chemistry,pparγ, peroxisome proliferator activated receptor γ,fizz1, found in inflammatory zone (fizz)1,arg1, arginase,cd206, mannose receptor c type 1,tzd, thiazolidinedione,h&e, hematoxylin and eosin,anv, annexin v-fitc,pi, propidium iodide,itc, isothermal titration calorimetry,ros, reactive oxygen species,no, nitric oxide,spf, specific-pathogen-free,alt, alanine aminotransferase,ast, aspartate aminotransferase,sem, standard error of mean,emsa, electrophoretic mobility shift assay,wat, white adipose tissue,atm, adipocyte tissue macrophages,nf-κb, nuclear factor kappa b,tc, total cholesterol,tg, triglycerides,itts, insulin tolerance tests,ct, computer tomography,spparms, selective ppar modulators,lbd, ligand binding domain,dbd, dna binding domain,obesity-related inflammation,macrophage polarization,apigenin,pparγ,nf-κb

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